Individual
ANTRIONETTE KARMISHA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4607 FORDHAM ST APT 2, LUBBOCK, TX 79416-2435
(806) 438-2110
Mailing address
4607 FORDHAM ST APT 2, LUBBOCK, TX 79416-2435
(806) 438-2110
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
991
TX
Other
Enumeration date
12/13/2024
Last updated
12/13/2024
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